Live Free Medical Clinic Pllc

NPI #1316427925 in Castroville, Texas

Provider Information

NPI Number
1316427925
Entity Type
Organization
Organization Name
Live Free Medical Clinic Pllc
Primary Specialty
Clinic/Center
Enumeration Date
Aug 14, 2018
Last Updated
Aug 14, 2018

Practice Location

Address
1312 GENEVA ST STE B
State
Texas
ZIP Code
78009-2941
Phone
(210) 580-4880

Authorized Official

Name
MR. JARED PARKER HARDIN, MBA
Title
OPERATIONS DIRECTOR
Phone
(210) 241-7990

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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